# M&D BEHAVIOR SERVICE CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891164281
- **Authorized official:** MR. JOSE A MARQUETTI (C)
- **Authorized official phone:** (305) 310-7064

## Contact information

- **Practice address:** 2750 SW 87TH AVE STE 210, MIAMI, FL 33165-3264
- **Practice address phone:** (786) 536-5289
- **Mailing address:** 2750 SW 87TH AVE STE 210, MIAMI, FL 33165-3264
- **Mailing address phone:** (786) 536-5289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | FL | Yes |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 07/21/2022